Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2007, 08-21 Permit App: 07003270 Plumbing Fixtures
# 000#\,........ Permit Center S" k"" ane11707 E Sprague Ave,Suite 106 Valley Spokane Valley,WA 99206 PERMIT NUMBER: � � 4,000 (509)688-0036 FAX:(509)688-0037 Community Development www.spokanevalley.org PERMIT FEE: ` —� Plumbing Permit Application n Commercial C1Residential SITE ADDRESS: /-2-/j/U 3 &L2t C"Ci ,/`l UL— Building Owner T)04_ , 5 4�,,/U,,, L C Jc. .S Name: �/ Phone: Fax: Address: ��03 ��e� a9v� Ci 5� L,,,A)� State: amuZip: ?/c ,Contractor Name: Lej1It, Phone: C Fax: rr Address: / 7 9j 4., CeGt ci ' City: n5 F--„,‘,#) State: ___70 Zip: (.23,95 q 4,/1.4.,License No: 4,/1.4., /`U f S 7) ) L City Business Lic: Contact ✓ Name: 1IN) ec 5. Tc'i 41.0 J Phone: ,7U ZJ^ e,5 1 r7/ 8 7 DESCRIPTION OF WORK #OF UNITS X COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET,BIDETS a X $6.00 = /„ . ---- 2 ^2 URINALS X $6.00 = 3 TUBS / X $6.00 = `l[i 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT I X $6.00 = t[, — LAYS/BASINS,BAR,FLOOR,KITCHEN, 5 SINKS LAUNDRY,UTILITY,JANITOR,PHOTO, X $6.00 = X-RAY,FOOD,PREP/CULINARY MEAT ) t 6 DISHWASHER / X $6.00 = 7 CLOTHES WASHER / X $6.00 = , 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 = 10 ELECTRIC HOT WATER TANK NOTE: IF GAS,SEE MECHANICAL X $6.00 = AREA,CASE,COIL,TRENCH, 11 FLOOR DRAINS CONDENSATE X $6.00 = 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 = 13 FOUNTAINS,DRINKING X $6.00 = WATER PIPING/DRAIN-IN WASTE, NSTALLATION,ALTERATION,REPAIR, 14 VENT,PLUMBING,REVERSAL REVERSALS X $6.00 = 15 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6.00 = ICE AN/OR COFFEE MAKER,HOSE BIB, 16 WATER USING DEVICE STEAMER X $6.00 = PROOFER,CARBONATOR,SWAMP COOLER VACUUM BREAKER,CHECK VALVE, AND R.P.B.P.D.FOR: VATS,TANKS, 17 CROSS CONNECTION DEVICE BOILERS X $6.00 = GREASE TRAP,SAND TRAP, 18 INTERCEPTORS CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet) NITROUS,OXYGEN X $6.00 = 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X_ $15.00 = SUBTOTAL �� METHOD OF PAYMENT: PROCESSING FEE ❑CASH 0 CHECK 0 VISA 0 MC EXPIRES: $35.00 Card# VIN: TOTAL PERMIT FEE DUE: 9 ''- AUTHORIZED SIGNATURE: REVISED 8/26/05